Tag Archives: medicine

Health Care- Can we have debate and stop the spin?

Head is swimming on the heath care issue right now. In too many ways to keep track.

I’ve had a long track record of supporting a single payer, national health insurance plan that would guarantee coverage for everyone. I feel even stronger about this now than when I was a Mother Jones reading college student at dear old Chico State. I like the Canadian example, and would like to see something like implemented here. I kind of reject the idea that Canadians are flocking across the border to be treated in the United States, that they hate their health plan, aren’t able to get the care they need or that the aged are put out to pasture.

The biggest difference that I can tell from the Canadian system and our own, and this comes from family investigation mind you, meaning that my grandparents and all of my aunts and uncles and cousins on my Mothers side of the family live in Montreal or Toronto, are two fold. Canadians do find themselves waiting for certain procedures, elective mostly.. That new knee that you wanted may be a couple months before you get it, where in the United States, its next week. There are stories about emergency rooms and hours and hours of waiting, about transfers to US hospitals, treatment of high profile Provincial Government officials being treated in the Unites States for cancer.. The other big difference? Insurance. In the Canada, doctors bill one insurance company. And, while Canadian doctors make less money on average than doctors in United States, especially in Family Practice and GP, they also enjoy lower malpractice rates and insurance adjudication fees.

The stats however show that the number of Canadians crossing border for health issues is miniscule, and is countered by the number of American crossing the border for drugs and clinical visits. In addition, mortality rates for diseases is about the same in Canada slightly higher in heart disease and certain cancers, slightly lower is some, bottom line? Life expectancy in Canada is 81 years, the United States its about 79 years.

In addition, Consumer Reports has found that 40% of Americans do not have adequate coverage for catastrophic illness, 16% do not have coverage at all. American spends 16% of our GDP on heathcare, Canada 10%. That’s a big spread with very small differences. What gives? I believe that the big difference is the role the insurance companies play in our equation. Private insurance in not an efficient vehicle for managing health care across our society simply put. It puts us in a position where your ability to pay determines your access and your outcome. Free Market folks would tell you that this how it’s supposed to be, it’s unfortunate but it creates motivation for the resource sucking poor folks to improve their situation. Ironically these are the same people who attend Churches and Synagogues, call themselves religious.. (sic) Talk about ignoring the tenants of their faith.. or maybe they just like to pick the tenants they like, ignore the poor on healthcare because that’s going cost me but emphasize the sins of being homosexual and deny people their due process when they want to marry.. (sorry I digress)

My own belief is that in a country as wealthy as ours no one should not have access to health care. Matter of fact, I would go so far as to say it’s a human right, maybe not called out in the constitution, but morally it something we’re should be doing. We love the disparage the French in this country, fact is they one of the finest healthcare systems in the world. Life expectancies higher than ours, infant mortality higher than ours, access to healthcare, universal.

I get the joke that we’re no where near close to that in America. I get that our system is bought and paid for by forces bigger than government, because frankly, they pay for government. (sic) But what I don’t get, and what isn’t  to much to ask for, is open debate about the issue, lets discuss options, what works what doesn’t work.. Where we’re going it down right ugly, and I’ll be honest, in my opinion as un-American as fascism. Oh wait, that’s what were dealing with here..

Reading the news about how Obama wants to euthanize old folks with death committees that will dole out care on a quality of life basis. We certainly don’t want the government doing that. Honestly, this is such a red herring is disgusting. I would even put forward that we already have this. In this country. Case in point, me.

A few years ago I was interested in starting a small business. I looked into the options, had a plan, and looked into how much private heath insurance was going to cost my family. What I learned at that time.. I can’t get private health insurance. I’m uninsurable because I had a melanoma cut off my back about six years go. As a result, no agency I talked with would insure me. One concession I got; we can right a policy but it will dictate that no cancer related treatments in your future will be covered. But I don’t have cancer. But you might and as a result should you get diagnosed with cancer, we will not cover any surgeries, drug therapy or oncology visits.

In other words if, down the road I get a non-related cancer, my only option is to die? Apparently their perspective is no, and this killed me (so tp speak), “you can be treated, we just aren’t going to cover it because of a pre-existing condition.” . The choice would be; put the family in financial ruin so I can get treated or just slip away. I was accused of being dramatic, but that about what it comes to… and then you have to ask what a life might be worth financially. My point being, the end of life committee is already in place and functioning. Now, realistically as long as I stay employed for a company with a group insurance plan I should be Ok. That’s great news, unless you lose your job or want to strike it out on your own.

What I’d like to get out this whole exercise is a open dialogue about this countries healthcare system. I’d like for Rush and Ann and all the folks on Talk Radio to either engage in the discussion or shut the hell help. Communicating a string of lies about a proposal that has not yet passed, telling grandma that she’s going to be sent out to pasture or that everyone all their doctors will be replaced by government employees is ridiculous. Comparing the president to Hitler and Nazism is downright disgusting and shouldn’t tolerated at all.

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Arthritis Blues II

This week has been a challenge.. as you regular readers know, I’ve had an arthritis issue for years, mostly in my knees and my shoulders, which while uncomfortable to be sure, but has rarely risen above “annoyance” in terms of life impact. In other words, not so bad that I’ve ever been motivated to do much about it, other than tell my physician, get a few MRI’s (at some astronomical fee) and then enjoy the Doctors happiness at making a diagnosis that 1) isn’t going to kill me and which isn’t going to get better, which is what the medical profession refers to as a “customer loyalty program”, and 2) involved lots of different treatment options , none of which really work that well, but which expose the notion that our current state of medicine isn’t all that advanced in many cases, from leeches and potions.

Funny how a doctor will never say “I don’t know”, instead they will phrase it “these treatments don’t always work for all my patients so we have try different things”.

Try?

That’s when I drop the quote from Master Yoda- There is no “try” there is only “do” or “not do”. Meaning, you really have no idea do you? The answer is “no we don’t.” Oh, any by saying “we” and not “I”… I’m assured that while my doctor knows all about the things he is supposed to know about, for some things, he knows nothing because about it becuase, by saying “we”, the entire body of medical professionals has not yet come up with an answer therefore, the physician in front of me, is off the hook.

As it turns out we really don’t know a ton about the different ways the body attacks it’s self or wears it’s self out. And since it was, simply an annoyance, I would participate in the latest diagnostic procedure, take the recommended magic potions and when they didn’t work, instead of going back to the doctor, would simply put the oven on 425 and insert a fresh tray of delicious crispy on the outside, creamy inside Ore-Ida Tatar Tots and take my short attention span to other places.

The one disheartening thing about this whole condition is that as I advance, the flare ups come a little more often, and are a little more intense. Still, because I often get months at time of being symptom free, even at their worst I console myself in knowing that “this too, shall end”.

Over the last year or so however, the stiffness and swelling has started to manifest itself in my hands. Having a bum shoulder or a sore knee, while somewhat annoying, for a guy who’s not all that active, it jus t means more time with a book or a movie and not the most worst thing to assigned to lay low for a few days.

The hands however… that’s a whole ‘nuther ball game. I actually find my hands particularly useful for a plethora of important and entertaining activities. They don’t say things are “handy” without good reason.

This latest manifestation of the condition however has a more insidious twist. This time ’round, the joint pain is acute. Rather than the dull ache I usually have, it’s very sharp and accompanied by swelling, tenderness and sensation of heat coming from the joint. It’s particularly bad in the lower joint in the thumb of my right hand. The lesson G-d is teaching me is; opposable thumbs are not be underestimated. I’m starting to think that it may be the most important evolutionary feature our species has developed. If you don’t believe me, try turning a doorknob or sending a tweet via your phone without a thumb. Nearly impossible.

Which leads to the cause of this latest problem.. could I have the dreaded and feared “blackberry thumb” condition I’ve read about? Thank goodness the answer is no, I have Palm device not a Blackberry, so I’m safe on that account. My doctor, same fellow who wants to “try” instead of “do”, has this belief that Blackberry and Palm users are equally at risk of this syndrome because the devices are essentially the same, which proves a couple things 1) clearly he’s never compared the two because the Blackberry is a much slicker device than my Palm. It’s got a really cool screen, better calendaring, better email, come on Doc, it rocks the Palm arthritic swollen hands down! He probably has an IPhone anyway,the yuppie scum. The other thing, if you ‘re keeping track would come in it at 2) he completely lacks any sense of humor, something not uncommon in the medical profession I’ve come to learn.

Funny thing, Ole Doctor Deadpan has a little test for blackberry thumb. Form a fist with your fingers over your thumb and twist it to the pinkie side of your hand. If you yelp in pain.. you have it. This move causes me absolutely no discomfort what so ever. Press on my hand at the very base of the thumb and push it toward my palm and my eye will tear up a bit, I’ll yelp and I might just bite you if I wasn’t wearing a muzzle.

The diagnosis is arthritis. I’ve now come full circle on this thing, with one new caveat, the potential for rheumatoid arthritis. That’s the very condition that left my grandmother unable to tie a knot or flip the bird to passing motorists in her later yeas. It’s actually a serious disease and makes me a bit sad as I look at 7 guitars sitting in my porch, and coming to the realization that there’s a good chance that I’m going to have to disappoint the band I have not formed yet and that we will probably have to cancel our gig at the old Ryman Auditorium in Nashville TN, which I had penciled in for September. (of 2019 so the tickets haven’t been printed yet)

Good news is that there are several new treatments to try, and with rest and therapy I may not have to endure the worst effects of this disease until long after I forget that I even knew how to play the guitar at one time. I am, however, anticipating that at that age, flipping the bird will be especially important for me and not being able to express myself in that way to the new nursing student who’s changing my diaper will be especially disheartening.

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